Organization
DR.ROH & SHIN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG S SHIN (OFFICE MANAGER)
(301) 568-1784
Entity
Organization
Contact information
Practice address
5107 SILVER HILL RD, SUITLAND, MD 20746-5213
(301) 568-1784
Mailing address
5107 SILVER HILL RD, SUITLAND, MD 20746-5213
(301) 568-1784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0023439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01034227
AMERIGROUP OF MARYLAND COMMUNITY CARE
MD
01
—
01160492
AMRIGROUP OF MARYLAND COMMUNITY CARE
MD
Enumeration date
11/25/2008
Last updated
11/25/2008
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